Consolidated Fiscal Reporting and Claiming Manual · Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 . Issued: 05/16 : The Consolidated Fiscal Report (CFR) is required

Consolidated Fiscal Reporting

and Claiming Manual July 1, 2015 - June 30, 2016

Office of Office for People With Office of Alcoholism and NYS Education Mental Health Developmental Disabilities Substance Abuse Services Department

The Office of Alcoholism and Substance Abuse Services, Office of Mental Health, Office For People With Developmental Disabilities, and the State Education Department do not discriminate on the basis of age, color, religion, creed, disability, marital status, veteran status, national origin, race, gender or sexual orientation in the programs and activities that they operate. Portions of this publication can be made available in a variety of formats including Braille, large print, or audiotape, upon request. Inquiries regarding equal opportunity and affirmative action may be referred to the appropriate New York State Department's Affirmative Action Officer.

i

TABLE OF CONTENTS

SUBJECT SECTION

Introduction .................................................................................................................................. 1.0

Submission Requirements........................................................................................................... 2.0

Reporting Periods ........................................................................................................................ 3.0

Due Dates .................................................................................................................................... 4.0

Software ...................................................................................................................................... 5.0

Financial Statements ................................................................................................................... 6.0

Methods of Accounting ................................................................................................................ 7.0

General Instructions..................................................................................................................... 8.0

CFRS Program Type vs. Program/Site Information Page 8.1

CFRS Shared Program Reporting Page 8.3

OASAS Instructions for Program Type and Program/Site Reporting Page 8.3

OMH Instructions for Program Type and Program/Site Reporting Page 8.3

OPWDD Instructions for Program Type and Program/Site Reporting Page 8.5

SED Instructions for Program Type and Program/Site Reporting Page 8.5

Contact Information Page 8.8

CFRS Resource Information Page 8.10

Frequently Asked Questions Page 8.11

Getting Started ............................................................................................................................ 9.0

Getting Started with NYS CFRS Software Page 9.1

Starting Your Submission Page 9.1

Defining Your Provider Agency Page 9.1

Defining Your Program/Sites Page 9.2

Uploading Your CFR Page 9.2

Software Assistance Page 9.3

Recommended Order of Schedule Completion Page 9.3

CORE SECTION

CFR-i Agency Identification and Certification Statement.......................................... 10.0

CFR-ii/CFR-iiA Independent Accountant's Report .................................................................. 11.0

CFR-iii County/New York City Certification Statement ............................................... 12.0

CFR-1 Program/Site Data........................................................................................... 13.0

CFR-2/CFR-2A Agency Fiscal Summary/Agency Fiscal Data ................................................. 14.0

CFR-3 Agency Administration .................................................................................... 15.0

CFR-4 Personal Services ........................................................................................... 16.0

CFR-4A Contracted Direct Care and Clinical Personal Services................................. 17.0

CFR-5 Transactions with Related Organizations/Individuals..................................... 18.0

CFR-6 Governing Board and Compensation Summary............................................. 19.0

ii

TABLE OF CONTENTS

SUBJECT SECTION

CLAIMING SECTION

Introduction to DMH Consolidated Claiming.............................................................................. 20.0

DMH-1 Program Fiscal Summary ............................................................................... 21.0

DMH-2 Aid to Localities/Direct Contract Summary ..................................................... 22.0

DMH-3 Aid to Localities and Direct Contracts Program Funding Source Summary .. 23.0

OMH SUPPLEMENTAL SECTION

OMH-1 Units of Service by Program/Site .................................................................... 24.0

OMH-2 Medicaid Units of Service by Program/Site .................................................... 25.0

OMH-3 Client Information............................................................................................ 26.0 OMH-4 Units of Service By Payor By Program/Site .................................................... 27.0

OPWDD SUPPLEMENTAL SECTION

OPWDD-1 ICF/IID Schedule of Services.......................................................................... 28.0

OPWDD-2 ICF/IID Medical Supplies ................................................................................ 29.0

OPWDD-5 Capital Schedule............................................................................................. 30.0

Reserved for Future Use................................................................................. 31.0

SED SUPPLEMENTAL SECTION

SED-1 Program and Enrollment Data ........................................................................ 32.0 SED-4 Related Service Capacity, Need and Productivity ......................................... 33.0

iii

TABLE OF CONTENTS

SUBJECT SECTION

APPENDICES

Appendix A Glossary ............................................................................................................. 34.0

Appendix B Table of Acronyms ............................................................................................. 35.0

Appendix C County Codes .................................................................................................... 36.0

Appendix D General CFR Rejection Criteria ......................................................................... 37.0

Appendix E OASAS Program Types, Definitions and Codes ............................................... 38.0

Appendix F OMH Program Types, Definitions and Codes ................................................... 39.0

Appendix G OPWDD Program Types, Definitions and Codes.............................................. 40.0

Appendix H SED Program Types, Definitions and Codes .................................................... 41.0

Appendix I Agency Administration ....................................................................................... 42.0

Appendix J Allocating Expenses for Shared Program/Site .................................................. 43.0

Appendix K LGU Administration Allocation ........................................................................... 44.0

Appendix L Acceptable Time Studies ................................................................................... 45.0

Appendix M Reserved for Future Use.................................................................................... 46.0

Appendix N DMH Funding Source Codes............................................................................. 47.0

Appendix O Guidelines for Depreciation and Amortization ................................................... 48.0

Appendix P Program Development Grants (PDGs) and Start-up for OMH .......................... 49.0

Appendix Q Guidelines for OMH Residential Exempt Income .............................................. 50.0

Appendix R Position Titles and Codes .................................................................................. 51.0

Appendix S Revenue Codes for Federal and State Grants .................................................. 52.0

Appendix T Abbreviated Submissions .................................................................................. 53.0

Appendix U Splits for Counties with Populations of Less Than 200,000.............................. 54.0

Appendix V Guidelines for Federal Medicaid Salary

(OMH Budgeting and Claiming Only) ................................................................ 55.0

Appendix W Prompt Contracting ............................................................................................ 56.0

Appendix X Adjustments to Reported Costs ......................................................................... 57.0

Appendix Y Procedures for Hospitals ................................................................................... 58.0

Appendix Z In-Contract vs. Out-of-Contract (DMH) .............................................................. 59.0

Appendix AA Audit Guidelines ................................................................................................. 60.0

Appendix BB Reserved for Future Use.................................................................................... 61.0

Appendix CC Compliance Review (LGU Only) ........................................................................ 62.0

Appendix DD COPS and CSP Medicaid Revenue (OMH Only) .............................................. 63.0

Appendix EE OPWDD Reimbursement Principles (OPWDD Only)........................................ 64.0

Appendix FF OPWDD Allocation Methodologies for Specific Programs (OPWDD Only)...... 65.0

iv

New York State Subject: Introduction Section: 1.0 Page: 1.1 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

The Consolidated Fiscal Report (CFR) is required to be completed by service providers receiving funding from or operating certified programs for any or all of the following New York State agencies. Please review the document submission matrices in Section 2 to determine the type of CFR submission required.

• Office of Alcoholism and Substance Abuse Services (OASAS)

• Office of Mental Health (OMH)

• Office For People With Developmental Disabilities (OPWDD)

• State Education Department (SED)

Service providers operating programs under the jurisdiction of one or more of these state agencies must file an annual CFR to document the expenses and revenues related to those programs. A single CFR is required from a service provider for each reporting period for which they are required to file. This single CFR includes all expenses and all revenues of the service provider.

The Consolidated Fiscal Reporting System (CFRS) is a standardized reporting method accepted by these state agencies (OASAS, OMH, OPWDD and SED), consisting of schedules which, in different combinations, capture financial information for budgets, quarterly and/or mid-year claims, an annual cost report, and a final claim. The instructions in this manual specify that a standard set of rules be followed in order to provide consistent data for comparison purposes. Software is available to assist in the preparation of the CFR (see Section 5).

The CFR consists of these three sections:

• Core: CFR-i, CFR-ii/iiA and schedules CFR-1 through CFR-6 which are required by each New York State Agency.

• Claiming: CFR-iii, schedules DMH-1 through DMH-3 which are required for OASAS, OMH and OPWDD.

• Supplemental: OMH-1 through OMH-4, OPWDD-1, OPWDD-2, OPWDD-5, SED-1 and SED-4 which are specific to each New York State Agency.

New York State Subject: Introduction Section: 1.0 Page: 1.2 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

The CFR is used as both a year-end cost report and a year-end claiming document.

• The year-end cost report consists of the core and supplemental schedules. The year-end cost report is used to set rates and analyze the appropriateness of fees and contracts. The cost reporting schedules are completed using a consistent reporting methodology in order for the data to be comparable between providers, regions and programs. The consistent methodology includes:

• using accrual accounting, including the depreciation of equipment and property, and

• using the ratio value method to allocate agency administration costs.

• The year-end claiming document consists of the claiming schedules. The year-end claiming document is used to report expenses and revenues for service providers receiving Aid to Localities (State Aid) funding through a direct contract with a Department of Mental Hygiene (DMH) State Agency and/or a local contract with a county Local Government Unit (LGU). Depending on the contract budget, the claiming schedules may be completed using:

• Accrual,

• Modified accrual or

• Cash basis accounting.

Service providers should review the reporting instructions for each schedule prior to completing the schedule. Service providers are also strongly encouraged to read the first nine (9) sections of this manual to ensure a basic understanding of the CFR requirements.

The respective New York State agencies reserve the right to reject the information submitted if the instructions contained in this manual are not followed.

New York State Subject: Submission Requirements Section: 2.0 Page: 2.1 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

There are four (4) types of final CFR submissions: Full CFRs, Article 28 Abbreviated CFRs, Abbreviated CFRs and Mini-Abbreviated CFRs. The type of CFR a service provider must complete depends on the type of program(s) operated by the service provider and the amount and type of funding received from the CFR State agencies. Please review the document submission matrices on pages 2.3 through 2.14 to determine the type of CFR submission required.

Note: When a service provider is certified and/or funded by more than one CFR State Agency, the most stringent CFR reporting requirements must be followed. For example, if a service provider operates OPWDD programs that require an Abbreviated CFR submission, but also operates OMH programs that require a Full CFR submission, the most stringent reporting requirements apply and the service provider must submit a Full CFR.

Note: In Section 2, for purposes of determining submission requirements, Medicaid Managed Care is considered to be Medicaid.

For Service Providers Operating Any OASAS Programs

Service providers that operate any OASAS certified and/or funded chemical dependence or gambling programs should review the detailed OASAS submission requirements listed on pages 2.5 and 2.11 of this manual. This includes providers of funded programs and unfunded programs. As noted above, service providers certified and/or funded by more than one CFR State Agency must follow the most stringent CFR State Agency’s(ies’) reporting requirements.

Full CFR Submissions (OMH, OPWDD and SED)

Full CFR submissions are generally required if a service provider operates certified, rate-based or cost-based programs, receives Aid to Localities funding (State Aid) in excess of $750,000 or receives Medicaid for any program. Full CFR submissions require completion of all applicable CFR schedules and submission of the service provider’s audited and certified financial statements.

Full CFRs must be certified by an independent certified public accountant. This certification is affirmed on either Schedule CFR-ii or Schedule CFR-iiA. Please note the following exceptions to having a Full CFR certified:

1) County Local Governmental Units (LGUs) and municipalities completing a Full CFR may submit any one of the following to meet the certification requirement:

• Compliance Review (see Appendix CC) • Schedule CFR-ii • Schedule CFR-iiA

2) OMH-only service providers completing a Full CFR are not required to have the CFR certified if all of the following criteria are met:

• The service provider operates an OMH Medicaid certified program (Clinic Treatment, Continuing Day Treatment, Day Treatment, Partial Hospitalization or Intensive Psychiatric Rehabilitation Treatment programs).

AND

• The service provider receives less than $100,000 in Aid to Localities funding from the State and local governmental unit.

AND

• The service provider receives Medicaid revenue of less than $200,000 for the year for which the CFR is being submitted.


3) OPWDD-only service providers completing a Full CFR are not required to have the CFR certified if all of the following criteria are met:

• The service provider does not operate an OPWDD ICF/IID, CR, Day Treatment, IRA, or Day Habilitation program.

AND

• The total Medicaid, State Paid Service and/or OPTS funding for the OPWDD programs is $250,000 or less.

Notes:

• Failure to submit all required schedules or failure to resubmit corrected schedules when requested may result in the imposition of sanctions or penalties.

• A provider that significantly revises its Full CFR after original submission may be required to have the revised CFR certified by its independent certified public accountant.

Abbreviated CFR Submissions (OASAS, OMH and OPWDD)

Abbreviated CFR submissions require completion of fewer CFR schedules. Providers filing Abbreviated CFR submissions must submit their audited and certified financial statements. Abbreviated CFR submissions are not required to be certified by independent certified public accountants. Please see Appendix T, Abbreviated Consolidated Fiscal Reports – General Instructions, in Section 53 for more detailed information regarding Abbreviated CFR submissions.


New York State Department of Mental Hygiene (DMH) Consolidated Fiscal Report Document Submission Matrix

For Service Providers Which Operate a COMBINATION of OASAS, OMH and/or OPWDD Programs

START Does the service provider operate only Article 28 programs which receive Aid to Localities funding (State Aid)? Diagnostic and Treatment Centers (D&TCs) operating OASAS certified and/or funded programs must answer “No”

Do any of the following conditions apply?

Does the service provider operate any of the following OASAS programs: Inpatient Rehabilitation, Residential Rehabilitation Services for Youth, Medically Supervised Withdrawal - Outpatient Medically Supervised Withdrawal - Inpatient or Residential Chemical Dependency Program for Youth - Short-Term?

OR Is the service provider a D&TC that operates OASAS certified, funded and/or unfunded programs?

OR Does the service provider receive Medicaid revenue for any OASAS certified, funded and/or unfunded programs?

OR Does the service provider receive more than $750,000 in Aid to Localities funding (State Aid) and/or Medicaid revenue for all OASAS funded programs combined?

OR For service providers who operate programs certified and/or funded by OMH: Does the combined total of the State and Local share of Aid to Localities funding for all the DMH State Agencies and any Medicaid funding for the OMH programs exceed $750,000?

OR Does the service provider operate any of the following OMH programs: Clinic Treatment, Community Residence (see a), Comprehensive PROS with or without Clinic, Continuing Day Treatment, Day Treatment, Partial Hospitalization or Intensive Psychiatric Rehabilitation Treatment?

OR Does the service provider operate any of the following OPWDD programs: ICF/IID, CR, Day Treatment, IRA or Day Habilitation?

OR Does the service provider operate any OPWDD programs (other than ICF/IID, CR, Day Treatment, IRA or Day Habilitation) with Medicaid, State Paid Services or OPTS funding?

Does the total State share of all DMH Aid to Localities funding (State Aid) exceed $250,000?

Service provider must complete and submit an Article 28 Abbreviated CFR to include:

CFR-i DMH-1 CFR-iii DMH-2 CFR-4 DMH-3

If the service provider also operates an SED program, please refer to item (e) on page 2.10 for SED reporting.

Service provider must complete and submit a Full CFR to include the following:

CFR-i CFR-4 CFR-ii/iiA CFR-4A CFR-iii CFR-5 CFR-1 CFR-6 CFR-2 DMH-1 CFR-2A DMH-2 CFR-3 DMH-3

OMH Supplemental Schedules (if certified/funded by OMH)

OPWDD Supplemental Schedules (if certified/funded by OPWDD)

Financial Statements

Please see pages 2.1 & 2.2 for exceptions to having a Full CFR certified by an independent certified public accountant.

Service provider must complete and submit an Abbreviated CFR to include:

CFR-i CFR-iii CFR-2 CFR-2A CFR-4

CFR-5 CFR-6 DMH-1 DMH-2 DMH-3


Does the service provider operate programs certified and/or funded by OASAS, OMH and/or OPWDD?

No DMH CFR filing requirement.

Service provider must complete and submit a Mini-Abbreviated CFR to include:

CFR-i CFR-5 CFR-iii DMH-2 CFR-4 DMH-3

Notes: a) Community Residence programs include Treatment/Congregate (6070), Support/Congregate (6080), Community Residence, Children and

Youth (7050), Treatment/Apartment (7070) and Community Residence, Single Room Occupancy (8050) programs.


New York State Department of Mental Hygiene (DMH)

Consolidated Fiscal Report Document Submission Matrix

For Article 28 Hospital Facilities That Operate OASAS Programs

START

Does the service receive Aid to funding (State Aid) OASAS programs?

YES



provider Localities

for any

NO

Does the service provider have a CFR reporting requirement for OMH, OPWDD or SED?

YES



No OASAS CFR filing requirement.

NO

Does the total State share of OASAS Aid to Localities funding (State Aid) exceed $250,000?



For Non-Hospital NOT-FOR-PROFIT Service Providers(1) That Operate Only OASAS Programs

START

Does the service provider receive Aid to Localities funding (State Aid) or Medicaid Revenue for any

NO

No OASAS CFR OASAS programs? filing requirement.

YES

Does the not-for-profit service provider receive Medicaid revenue for any OASAS program?

OR More than $750,000 in Aid to Localities funding (State Aid) for all OASAS programs combined? NO

The not-for-profit service provider must complete and submit a Mini-Abbreviated CFR to include:

CFR-i CFR-5

CFR-iii DMH-2 YES CFR-4 DMH-3

OASAS Form PAS-124

Does the not-for-profit service provider receive more than $500,000 in revenue from all sources in all lines of business?

OR More than $750,000 in Aid to Localities funding (State Aid) for all OASAS programs combined?

NO

YES

The not-for-profit service provider must complete and submit a CPA certified Full CFR to include the following:

CFR-i CFR-4 CFR-ii/iiA CFR-4A CFR-iii(2) CFR-5 CFR-1 CFR-6 CFR-2 DMH-1 CFR-2A DMH-2(2)

CFR-3 DMH-3(2)

Independently Audited and Certified Financial Statements

OASAS Form PAS-124


CFR-i CFR-5

CFR-iii CFR-6

CFR-2 DMH-1

CFR-2A DMH-2

CFR-4 DMH-3

Independently Audited and Certified Financial

Statements

YES

Does the not-for-profit service provider receive more than $500,000 in revenue from all sources in all lines of business?

NO

Does the total State share of OASAS Aid to Localities funding (State Aid) exceed $250,000?

NO YES

The not-for-profit service provider must complete and submit an Abbreviated CFR to include:

CFR-i CFR-5

CFR-iii CFR-6

CFR-2 DMH-1

CFR-2A DMH-2

CFR-4 DMH-3

Independently Reviewed Financial Statements

OASAS Form PAS-124

The not-for-profit service provider must complete and submit an un-certified Full CFR to include the following:

CFR-i CFR-4A CFR-iii(2) CFR-5 CFR-1 CFR-6 CFR-2 DMH-1 CFR-2A DMH-2(2)

CFR-3 DMH-3(2)

CFR-4


OASAS Form PAS-124

(1) Includes diagnostic & treatment centers (D&TCs) governmental entities (i.e. counties cities, towns, villages, etc.) AND public schools and public

school districts.

(2) These schedules are required for State Aid funded service providers only.




For Non-Hospital PROPRIETARY Service Providers That Operate Only OASAS Programs

START

Does the proprietary (for-profit) service provider receive Medicaid Revenue for any OASAS

No OASAS CFR filing requirement. programs? NO

YES The for-profit service provider must complete and submit an un-certified Full CFR to include the following:

CFR-i CFR-4A Does the for-profit service provider receive

CFR-1 CFR-5 $500,000 or more in total revenues from all CFR-2 CFR-6 sources in all lines of business? CFR-2A DMH-1

NO CFR-3 CFR-4


OASAS Form PAS-124 YES

The for-profit Service provider must complete and submit a CPA certified Full CFR to include the following:

CFR-i CFR-4 CFR-ii/iiA CFR-4A CFR-1 CFR-5 CFR-2 CFR-6 CFR-2A DMH-1 CFR-3

Independently Audited and Certified Financial

Statements


OASAS Year-End Cost Reporting Submission Requirements

General Principles

The following general principles apply to organizations operating one or more OASAS certified and/or state aid funded programs.

• Organizations may operate funded and/or unfunded OASAS programs

• Funded programs are programs receiving net deficit funding (State Aid) from OASAS in support of chemical dependence or gambling services. State Aid can be provided through a direct contract with OASAS or through a local contract with a county.

• Unfunded programs are programs that receive no net deficit funding (State Aid) from OASAS. Financial support for unfunded programs comes completely from Medicaid, client fees, health insurance carriers and other third party payers.

• The following types of organizations may be required to submit annual CFRs:

• not-for-profit corporations

• for profit corporations

• governmental entities (counties, cities, towns, etc.)

Note: Governmental entities include public schools and school districts.

• All not-for-profit organizations that receive state aid funding for one or more OASAS programs are required to submit an annual CFR submission.

• Proprietary organizations (for-profit) are prohibited by rule from receiving OASAS state aid funding but may be required to submit an annual CFR if other conditions are met.

• Not-for-profit organizations can be funded (receives OASAS state aid through a direct or local contract) or unfunded (the programs operated are supported completely by Medicaid, health insurance or other third party payers).

• Other than Article 28 certified hospital facilities, any not-for-profit or for-profit organization that receives Medicaid revenue for any OASAS, OMH and/or OPWDD programs they operate is required to submit a Full CFR.

• All organizations, regardless of corporate status or ownership type, must report all OASAS programs operational during a fiscal reporting period. This includes programs that are funded (receives OASAS state aid through a direct or local contract) and programs that are not funded (programs supported completely by Medicaid, health insurance or other third party payer revenues).

• Financial statements are only required as part of a Full or Abbreviated CFR submission type.

• Only Full CFR submission types require certification/sign-off by an independent certified public accountant (CPA).


CFR Submission Requirements

Any non-Article 28 certified hospital provider operating one (1) or more of the following OASAS program types is required to submit a Full CFR submission type certified by an independent certified of public accountant. Additionally, financial statements are required for submission in accordance with the instructions on pages 2.10 and 2.11 of this manual.

Program Type Program Code

Chemical Dependence Inpatient Rehabilitation 3550

Residential Rehabilitation Services for Youth 3551

Medically Supervised Withdrawal Services – Outpatient 3059

Medically Supervised Withdrawal Services – Inpatient/Residential 3039

Article 28 Certified Hospital Providers

Funded: All Article 28 certified hospitals receiving OASAS net deficit funding (State Aid) for one (1) or more chemical dependence or gambling programs are required to submit an Article 28 Abbreviated CFR. All chemical dependence and gambling programs operated by the hospital must be reported on the

CFR whether they are funded or not.

Unfunded: Article 28 certified hospitals that submit a CFR as a result of NYS Office of Mental Health (OMH), NYS Office For People With Developmental Disabilities (OPWDD) and/or NY State Education Department (SED) reporting requirements must include all unfunded chemical dependence and gambling programs on OASAS-specific schedules of the required CFR.

Note: Article 28 certified hospitals that do not receive OASAS net deficit funding (State Aid) for any of their chemical dependence or gambling programs and are not required to submit a CFR to OMH, OPWDD and/or SED are not required to submit a CFR.

Article 28 Certified Diagnostic and Treatment Center (D&TC) Providers

Funded: All Article 28 certified D&TCs receiving OASAS net deficit funding (State Aid) for one (1) or more chemical dependence or gambling programs that also receive Medicaid for one (1) or more of those programs, are required to submit a Full CFR. All chemical dependence and gambling programs operated by the D&TC must be reported whether they are funded or not. See pages 2.10 and 2.11 of this manual for OASAS threshold requirements for submission of provider financial statements.

Unfunded: Article 28 certified D&TCs that do not receive OASAS net deficit funding (State Aid) for any of the chemical dependence or gambling programs they operate, but do receive Medicaid for one (1) or more of those programs, are required to submit a Full CFR. All chemical dependence and gambling programs operated by the D&TC must be reported on the CFR. See pages 2.10 and 2.11 of this manual for OASAS threshold requirements governing CPA certification of Full CFRs and OASAS requirements for submission of provider financial statements.


All Other OASAS Certified and/or Funded Providers (Not including Article 28 Certified Hospitals and Article 28 Certified D&TCs)

OASAS Funded Providers

1. All non-Article 28 certified providers receiving OASAS net deficit funding (State Aid) for one (1) or more chemical dependence or gambling programs, that also receive Medicaid for one (1) or more chemical dependence or gambling programs they operate, are required to submit a Full CFR. All chemical dependence and gambling programs operated by the provider must be reported on the CFR whether they are funded or not. See pages 2.10 and 2.11 of this manual for OASAS threshold requirements governing CPA certification of Full CFRs and OASAS requirements for submission of provider financial statements.

2. All non-Article 28 certified providers that do not receive Medicaid for any of the OASAS programs they operate but do receive more than $750,000 in OASAS net deficit funding (State Aid) for all chemical dependence and gambling programs combined are required to submit a CPA certified Full CFR. All chemical dependence and gambling programs operated by the provider must be reported on the CFR whether they are funded or not.

3. All non-Article 28 certified providers that do not receive Medicaid for any of the OASAS programs they operate but receive $750,000 or less in OASAS net deficit funding (State Aid) for all chemical dependence programs combined are required to submit either an Abbreviated CFR or a Mini-Abbreviated CFR unless they are required to submit a Full CFR as a result of NYS Office of Mental Health, NYS Office For People With Developmental Disabilities and/or NY State Education Department reporting requirements. All chemical dependence and gambling programs operated by the provider must be reported on the CFR whether they are funded or not.

OASAS Unfunded Providers

1. Non-Article 28 certified providers that do not receive OASAS net deficit funding (State Aid) for any of the chemical dependence or gambling programs they operate, but do receive Medicaid for one (1) or more of those programs, are required to submit a Full CFR. All chemical dependence and gambling programs operated by the service provider must be reported on the CFR. See pages 2.10 and 2.11 of this manual for OASAS threshold requirements governing CPA certification of Full CFRs and OASAS requirements for submission of provider financial statements.

2. Non-Article 28 certified providers that submit a CFR as a result of NYS Office of Mental Health (OMH), NYS Office For People With Developmental Disabilities (OPWDD) and/or NY State Education Department (SED) reporting requirements must include all unfunded chemical dependence and gambling programs on OASAS-specific schedules of the required CFR.

Exception: Unfunded service providers that operate program services eligible for Medicaid reimbursement that are not enrolled in the Medicaid program are not required to submit a CFR.


Financial Statements Submission Requirements

Not-for-Profit Organizations

• Organizations receiving less than $500,000 in total revenue from all sources in all lines of business are required to submit, at a minimum, financial statements reviewed by an independent CPA.

• Organizations receiving $500,000 or more in total revenues from all sources in all lines of business are required to submit financial statements audited and certified by an independent CPA.

For-Profit Organizations

• Organizations receiving less than $500,000 in total revenue from all sources in all lines of business are required to submit, at a minimum, financial statements reviewed by an independent CPA.

• Organizations receiving $500,000 or more in total revenues from all sources in all lines of business are required to submit financial statements audited and certified by an independent CPA.

CPA Certification of Consolidated Fiscal Reports

This guidance only applies to organizations required to file Full CFR submission types.

Not-for-Profit Organizations

• Organizations operating one or more OASAS un-funded and/or funded programs that:

• receives less than $500,000 in total revenues from all sources in all lines of business, and

• receives more than $1 but less than $250,000 in Medicaid revenue in all operational OASAS programs combined (un-funded and/or funded)

are not required to have their CFR certified by an independent CPA. In addition to the submission of required CFR signature/attestation pages organizations are required to submit a signed attestation form (PAS-124) as outlined in the Reporting Requirements for OASAS Reporting Entities.

• Organizations operating one or more OASAS un-funded and/or funded programs that:

• receives $500,000 or more in total revenues from all sources in all lines of business, and

• receives at least $1 in Medicaid revenue in any operational OASAS program (funded and/or unfunded)

are required to have their CFR certified by an independent CPA. In addition to the submission of required CFR signature/attestation pages organizations are required to submit a signed attestation form (PAS-124) as outlined in the Reporting Requirements for OASAS Reporting Entities.

• Organizations receiving any combination of Medicaid revenue and state aid funding equal to or greater than $750,000 for all funded and un-funded OASAS programs they operate are required to have their CFR certified by an independent CPA. In addition to the submission of required CFR signature/attestation pages organizations are required to submit a signed attestation form (PAS-124) as outlined in the Reporting Requirements for OASAS Reporting Entities.

• Organizations that do not receive any Medicaid revenue for any OASAS programs they operate but receive $750,000 or more in state aid funding for all OASAS programs combined are required to have their CFR certified by an independent CPA. In addition to the submission of required CFR signature/attestation pages organizations are required to submit a signed attestation form (PAS-124) as outlined in the Reporting Requirements for OASAS Reporting Entities.


For Profit Organizations

The following requirements apply to for-profit organizations

• Organizations receiving less than $500,000 in total revenues from all sources in all lines of business do not have to have their CFRs certified by an independent CPA. In addition to the submission of required CFR signature/attestation pages organizations are required to submit a signed attestation form (PAS-124) as outlined in the Reporting Requirements for OASAS Reporting Entities.

• Organizations receiving $500,000 or more in total revenues from all sources in all lines of business are required to have their CFRs certified by an independent CPA. In addition to the submission of required CFR signature/attestation pages organizations are required to submit a signed attestation form (PAS-124) as outlined in the Reporting Requirements for OASAS Reporting Entities.




For Service Providers Which Operate Only OMH Programs

START

Does the service provider operate programs certified and/or funded by OMH?

No OMH CFR filing requirement.

Does the service provider operate only Article 28 programs which receive Aid to Localities funding?

Does any one of the following apply:

Does the total State and Local share of Aid to Localities funding plus Medicaid funding for all OMH programs exceed $750,000?

OR Does the service provider operate any of the following OMH programs: Clinic Treatment, Community Residence (see b), Comprehensive PROS with or without Clinic, Continuing Day Treatment, Day Treatment, Partial Hospitalization, or Intensive Psychiatric Rehabilitation?

Does the total State share of OMH Aid to Localities funding exceed $250,000?

Service provider must complete and submit a Mini-Abbreviated CFR to include (see a):

CFR-i CFR-iii CFR-4 CFR-5 DMH-2 DMH-3


CFR-i CFR-5 CFR-iii DMH-1 CFR-2 DMH-2 CFR-2A DMH-3 CFR-4



CFR-i CFR-4 DMH-2 CFR-iii DMH-1 DMH-3


CFR-i CFR-ii/iiA CFR-iii CFR-1 CFR-2 CFR-2A CFR-3

CFR-4 CFR-4A CFR-5 CFR-6 DMH-1 DMH-2 DMH-3

OMH Supplemental Schedules Financial Statements

Notes: a) All schedules of this CFR may be completed on accrual, modified accrual or cash basis accounting consistent with the service provider’s

approved budget. b) Community Residence programs include Treatment/Congregate (6070), Support/Congregate (6080), Community Residence, Children and

Youth (7050), Treatment/Apartment (7070) and Community Residence, Single Room Occupancy (8050) programs.



For Service Providers Which Operate Only OPWDD Programs

START

Does the service provider operate programs certified and/or funded by OPWDD?

No OPWDD CFR filing requirement.

Does the service provider operate an ICF/IID, CR, Day Treatment, IRA or Day Habilitation program?

OR Does the service provider receive Medicaid, State Paid Services or OPTS funding in excess of $250,000 for any OPWDD programs other than an ICF/IID, CR, Day Treatment, IRA or Day Habilitation program?

Service provider must complete and submit a Full (CPA certified) CFR to include the following:

CFR-i CFR-3 CFR-ii/iiA CFR-4 DMH-1 CFR-iii CFR-4A DMH-2 CFR-1 CFR-5 DMH-3 CFR-2 CFR-6 CFR-2A

OPWDD Supplemental Schedules Financial Statements

Does the service provider receive Medicaid, State Paid Services or OPTS funding of $250,000 or less for any OPWDD programs other than an ICF/IID, CR, Day Treatment, IRA or Day Habilitation program?

Service provider must complete and submit a Full (uncertified) CFR to include the following:

CFR-i CFR-3 CFR-6 CFR-iii CFR-4 DMH-1 CFR-1 CFR-4A DMH-2 CFR-2 CFR-5 DMH-3 CFR-2A

OPWDD Supplemental Schedules Financial Statements

Service provider must complete and submit an Abbreviated (uncertified) CFR to include:

CFR-i CFR-4 DMH-1 CFR-iii CFR-5 DMH-2 CFR-2 CFR-6 DMH-3 CFR-2A


Does the total State share of Aid to Localities for all OPWDD programs exceed $250,000?

Service provider must complete and submit a Mini-Abbreviated CFR to include (see a):

CFR-i CFR-5 CFR-iii DMH-2 CFR-4 DMH-3

Note: a) All schedules of the Mini-Abbreviated CFR may be completed on accrual, modified accrual or cash basis

accounting consistent with the service provider’s approved budget.


New York State Education Department (SED) Consolidated Fiscal Report Document Submission Matrix

For Service Providers Which Operate Only SED Programs

START

Does the service provider operate any programs funded under Article 81 or Article 89 of the Education Law (see a, c)?

No SED filing requirement (see b).

Service provider must submit a full July/June CFR to include the following:

CFR-i CFR-4A CFR-ii/iiA CFR-5 CFR-1 CFR-6 CFR-2 SED-1 CFR-2A SED-4 (if CFR-3 applicable) CFR-4


Is the service provider required to file Standards of Payments forms with the Office of Children and Family Services?

Is the service provider currently required to file a CFR with the Department of Mental Hygiene (DMH)?

Service provider must fulfill all DMH CFR filing requirements AND complete and submit the following:

Report SED programs only, on a July/June basis:

CFR-i CFR-4A CFR-ii/iiA CFR-5 CFR-1 CFR-6 CFR-2 SED-1 CFR-2A SED-4 (if CFR-3 applicable) CFR-4 CPA Attestation Standards of Payments Forms Financial Statements

Is the service provider required to file a Full CFR with DMH?


CFR-i CFR-4A CFR-ii/iiA CFR-5 CFR-1 CFR-6 CFR-2 SED-1 CFR-2A SED-4 (if applicable) CFR-3 CFR-4 Financial Statements

Service provider must fulfill all DMH abbreviated CFR filing requirements AND complete and submit the following:

Certified Full CFR for SED on a calendar basis:

year or July/June

CFR-i CFR-ii/iiA CFR-1 CFR-2 CFR-2A CFR-3

CFR-4A CFR-5 CFR-6 SED-1 SED-4 (if applicable)

CFR-4


Notes: a) Municipalities that operate special education programs under Article 81 or Article 89 of the Education Law will be sent

a cost center report under separate cover. b) ACCES agencies that do not operate Article 81 or 89 programs do not need to submit a CFR to SED or cost out the

ACCES programs separately. Instead ACCES programs for SED purposes are to be reported under the other column (col. 7) of the CFR-2 and in other programs on the CFR-3 line 48.

c) Agencies that ONLY operate Preschool Multidisciplinary Evaluation Programs have no SED filing requirements.


SED Reporting Requirements

Note: For all SED funded service providers, resubmissions of certified or attested Consolidated Fiscal Reports will ONLY be considered for errors in the reporting of student FTE enrollment, and only if verified with the student enrollment reported on the STAC system.

If a service provider is funded pursuant to Article 81 or 89 of the Education Law, the CFR is required. In general, the CFR submitted to SED must be a full agency-wide report containing the programs defined in Appendix H. For SED only providers, general purpose financial statements audited and certified by an independent certified public accountant for the same year-end as the CFR are usually required to be submitted with the CFR. The following provisions and exceptions apply to SED service providers only:

a) If the service provider is not required to file the CFR with DMH and has a school age or preschool special education program, the CFR submitted to SED must be reported on a July to June basis.

b) If the service provider is required to file a calendar year CFR with DMH, SED will accept a calendar year CFR.

c) If the service provider is required to file an abbreviated CFR with DMH on a calendar year basis, the service provider must then file either a full calendar year CFR with SED/DMH or the abbreviated calendar year CFR with DMH and a Full CFR on a July to June basis with SED.

d) If the service provider is required to file the Standards of Payments (SOP) report with the New York State Office of Children and Family Services which details the cost of SED programs, the service provider may file a July to June CFR with SED (Schedules CFR-1, 3, 4, 4A, 5, 6), SED-1 and SED-4 (if applicable). The CFR should include only SED programs and need not be certified. A CPA attestation is required. The method of allocating agency administration expenses used in completing the SOP report is permitted in lieu of the ratio value method in completing the CFR. The SED programs on the CFR must reconcile to the SED programs on the SOP report.

e) If the service provider is a hospital certified by the Department of Health and is not required to file a CFR with DMH, SED requires either a calendar year or fiscal year CFR (Schedules CFR 1, 3, 4, 4A, 5, 6), SED-1 and SED-4 (if applicable). The CFR should include only SED programs and need not be certified. A CPA attestation is required. The Step-Down method of allocating agency administrative expenses is permitted in lieu of the ratio value method in completing the CFR. Please note that service providers with DMH funding must also complete DMH CFR reporting requirements. Please refer to the applicable DMH submission matrix on pages 2.3 through 2.8.

f) If the service provider is required to file a calendar year CFR, each SED school age, preschool, infant, grant and preschool evaluation program needs to be reported in six-month segments, (January to June in one column and July to December in another column) for Schedules CFR-1, 4, 4A and SED-1. Schedule SED-4 is to be completed on a fiscal year basis (July to June) covering the previous fiscal year. All NYS Early Intervention Program Codes (Part C IDEA infant/toddler program) should be reported in six month segments.

g) If the only special education program a service provider operates is a special education itinerant teacher program (program 9135), schedule SED-4 is not required.


General CFR Submission Requirements

1. The CFR: All CFR submission types must be prepared using the NYS CFRS Software and submitted electronically via the internet.

2. Certification Schedules – CFR-i, CFR-ii, CFR-iiA, CFR-iii:

a. OMH and SED are currently unable to accept electronic submissions for CFR certification schedules (CFR-i, CFR-ii or CFR-iiA, and CFR-iii). OASAS and OPWDD will accept manual or electronic submissions (see b. below). For all manual submissions, signed and dated paper copies of the certification schedules must be sent directly to each applicable State Agency – OMH, OPWDD, OASAS and/or SED. Sending signed and dated paper copies of the certification schedules to the County, appropriate geographic office of the Developmental Disabilities Regional Office (DDRO), New York City Regional Office, or OASAS Field Office does not fulfill certification submission requirements.

b. OASAS and OPWDD Only – Email Submissions

i. Copies of all required certification schedules and Attestation Statements submitted by email must be PDF files.

ii. The certification schedules should be included in one (1) PDF file.

iii. Providers must keep original signature certification schedules and Attestation Statements corresponding to those emailed for the required retention period and must be able to make them available upon request to OASAS, OPWDD and any other stakeholder or governmental controlling party.

iv. The DCN on emailed PDF certification schedules must match the DCN of the uploaded CFR files and the original signature copies maintained in the provider files as indicated in item iii. above.

v. The emailed PDF files of certification schedules and Attestation Statements must be named exactly as follows:

OASAS PN_Period Covered_Cert Scheds_DCN_Date Filed Examples: 12345_2012_Cert Scheds_87654321_YYYY-MM-DD

54321_2012-13_Cert Scheds_12345678_YYYY-MM-DD

OPWDD CORP ID_Period Covered_Cert Scheds_DCN Examples: 12345_2014_Cert Scheds_87654321

54321_2014-15_Cert Scheds_87654321


vi. The subject line of the email must be named exactly as follows:

OASAS PN_Period Covered_Certification Schedules Examples: 12345_2012_Certification Schedules

54321_2012-13_Certification Schedules

OPWDD CORP ID_Period Covered_Certification Schedules Examples: 12345_2014_Certification Schedules

54321_2014-15_Certification Schedules

vii. Emailed certification schedules and/or Attestation Statements must be sent to the following addresses as applicable:

For OASAS: [email protected] For OPWDD: [email protected]

c. The Document Control Number (DCN) on the certification schedules must match the DCN of the Internet submission.

d. Revised CFRs and Certifications: When a revised CFR is uploaded, the previously submitted certifications are no longer valid. OMH, OASAS, OPWDD and SED all require that a provider submit a new agency certification (CFR-i) reflecting the new DCN. OASAS filers and OPWDD filers that submit Full CFRs must also submit a signed CFR-ii/iiA with a new DCN or an Attestation Statement in lieu of new CFR-iis or CFR-iiAs. An Attestation Statement can only be substituted if a CFR-ii or CFRiiA schedule with the original DCN signed by a CPA had been submitted.

3. Financial Statements and A-133 Audits (if required):

a. Financial Statements must be submitted electronically via the Internet as part of the CFRS upload process.

b. Financial Statements should be submitted at the time of the CFR submission or as soon as possible thereafter since they are required for reporting compliance.

c. Financial Statements should be in PDF format.

d. In order to upload the Financial Statements, providers will be prompted to provide the following identifying information:

i. Provider corp ID – the 5 digit code assigned by the funding agency

ii. The type of document CFS - Consolidated Financial Statements; or SFS - Stand Alone/Single Entity Financial Statements; or A-133 – A-133 audit report

mailto:[email protected]:[email protected]


iii. The reporting period beginning and end dates: Reporting Period Start Date: mm/dd/yyyy Reporting Period End Date: mm/dd/yyyy

iv. The end date of the period covered by the Financial Statements or the A-133 audit – mm/dd/yyyy. This end date should fall within the provider’s CFR reporting period.

Regular Mail Submission

The required information should be mailed as applicable to the appropriate certifying/funding State Agency(ies) listed below:

• New York State Office of Alcoholism and Substance Abuse Services Bureau of Provider Monitoring and Funding 1450 Western Avenue Albany, New York 12203-3526

Note: In addition to the required Internet CFR submission and/or Preliminary (Estimated) Claim submission, service providers funded through a direct contract with OASAS must submit paper copies of CFR-i and DMH-2 directly to the OASAS Bureau of Provider Monitoring and Funding - Attn: State Aid at the street address above.

If Aid to Localities funding is contracted through a County Local Governmental Unit (LGU) or the NYC Department of Health and Mental Hygiene (DOHMH), submit a paper copy of the CFR to the LGU or NYC DOHMH in addition to the Internet CFR submission.

• New York State Office of Mental Health CBFM CFR Unit 44 Holland Avenue – 7th Floor Albany, New York 12229-0001

• New York State Office For People With Developmental Disabilities Fiscal Reporting and Data Analysis/CFR Processing Unit 44 Holland Avenue – 5th Floor Albany, New York 12229-0001

Note: If Aid to Localities funding is contracted through the Local Government Unit (LGU), submit one paper copy to that (those) LGU(s).

If Aid to Localities funding is contracted through the NYC Department of Health and Mental Hygiene (DOHMH), submit one paper copy of the CFR to the NYC DOHMH.

If funded and/or certified by OPWDD, submit one paper copy of the CFR to the appropriate OPWDD geographic office of the Developmental Disabilities Regional Office (DDRO) or New York City Regional Office in addition to the above requirements.


• New York State Education Department Rate Setting Unit Room 302 Education Building 89 Washington Avenue Albany, New York 12234

Internet Submissions

To submit your agency’s CFR electronically via the Internet, go to the following OMH web address and follow the instructions:

http://www.omh.ny.gov/omhweb/CFRSWeb/instructions/validate.htm

Data from successfully uploaded CFR submissions will be stored in a central repository maintained on an OMH web server. On a nightly basis, data uploaded during the prior 24-hour period will be sent to the NYS agency(ies) certifying/funding the programs reported in the uploaded CFR.

http://www.omh.ny.gov/omhweb/CFRSWeb/instructions/validate.htm

New York State Subject: Reporting Periods Section: 3.0 Page: 3.1 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

A service provider’s standard reporting period is generally based on the geographic location of their corporate headquarters.

Headquarters’ Location Standard Reporting Period

New York City July 1 through June 30 (all five (5) boroughs)

Other than New York City January 1 through December 31

Exceptions to the above reporting period requirements are listed below.

OASAS

• All OASAS ONLY service providers receiving a cost based Medicaid rate from OASAS shall file on the calendar year basis regardless of the location of their corporate headquarters.

• OASAS ONLY service providers that do not receive Aid to Localities funding (State Aid) for any OASAS programs they operate may request a calendar or July – June fiscal reporting period regardless of the location of their corporate headquarters. Requests will be handled on a case by case basis and, as noted above, providers receiving a cost based Medicaid rate from OASAS must file on a calendar year basis.

SED

• A service provider receiving funding only from the State Education Department (and not from OMH, OPWDD or OASAS) pursuant to Article 81 or 89 of the Education Law will use the reporting period of July 1 through June 30.

Additional reporting requirements are listed below.

• A service provider receiving Aid to Localities funding through a county contract or direct contract with a specified reporting period that is not the same as the service provider's standard reporting period, will complete two CFRs:

1. The regular submission will use the service provider’s standard reporting period.

2. The additional Abbreviated or Mini-Abbreviated CFR (see Section 2.0) will use the reporting period specified by the county or direct contract. Please contact the funding DMH State Agency(ies) to verify which type of CFR must be submitted.

For example:

A service provider that has its corporate headquarters in Manhattan and operates programs in both Manhattan and Westchester County, must submit their regular CFR on the standard reporting period of July 1 through June 30. This service provider would complete the CFR detailing expenses and revenues for all programs in operation during that time period, including the Westchester County programs. Note that the expenses and revenues reported for the Westchester programs would be the accrued amounts for the July 1 through June 30 period, not the amounts specified in the contract.

This same service provider must also submit an additional Abbreviated or Mini-Abbreviated CFR on the January 1 through December 31 reporting period for the programs funded by Westchester County only. The expenses and revenues reported on this CFR would be related to the calendar year.

New York State Subject: Reporting Periods Section: 3.0 Page: 3.2 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

• A service provider receiving funding for Member Items (Special Legislative Grants) must complete an Abbreviated or Mini-Abbreviated CFR corresponding to the reporting period stated in the contract if this is different from their standard reporting period. The contract reporting period for the Special Legislative Grant often will not correspond to either the CFR calendar or fiscal reporting periods (it often runs from April 1 to March 31). If a service provider has additional CFR programs that require a regular CFR submission be filed on either the CFR calendar or fiscal reporting periods, the Special Legislative Grant must also be included in this CFR. Note that only the expenses and revenues of the Special Legislative Grant pertaining to the CFR calendar or fiscal reporting periods should be included in this CFR.

For example:

• XYZ, Inc. is required to file a Full CFR annually on a July/June fiscal reporting period reporting two (2) certified/funded outpatient clinics.

• XYZ, Inc. receives a Special Legislative Grant of $15,000 with a contract reporting period of April 1, 2007 to March 31, 2008.

Here’s how XYZ, Inc. would file the appropriate CFRs:

1. On XYZ, Inc.’s July 1, 2006 to June 30, 2007 Full CFR they would report all of the July 2006 to June 2007 expenses for the two (2) outpatient clinics AND the expenses for the Special Legislative Grant for the April 1, 2007 to June 30, 2007.

2. On XYZ, Inc.’s July 1, 2007 to June 30 2008 Full CFR they would report all of the July 2007 to June 2008 expenses for the two (2) outpatient clinics AND the expenses for the Special Legislative Grant for the July 1, 2007 to March 31, 2008.

3. A separate Mini-Abbreviated CFR covering the period April 1, 2007 to March 31, 2008 would be prepared by XYZ, Inc. and would only include those expenses associated with the Special Legislative Grant

Had XYZ, Inc. received a Special Legislative Grant with a contract period of July 1, 2007 to June 30, 2008, only one (1) Full CFR would be completed for the reporting period. Included in that CFR would be all of the expenses for the two (2) outpatient clinics AND all of the expenses for the Special Legislative Grant.

Important Note: Only expenses and revenues for the proper CFR reporting period should be included in the CFR. CFRs submitted with expenses and revenues for a different reporting period will not be accepted.

New York State Subject: Due Dates Section: 4.0 Page: 4.1 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

All service providers must submit their completed CFRs to the appropriate State Agency(ies) as follows:

For OASAS and OPWDD certified and/or funded programs – no later than the first day of the sixth month following the end of the reporting period.

For OMH and SED certified and/or funded programs – no later than 120 days after the end of the reporting period. If a pre-approved extension request is submitted, the due date is no later than 150 days after the end of the reporting period.

For the two (2) standard fiscal reporting periods the document due dates are as follows:

Document

Document Due Date

January to December Filers July to June Filers

OMH and SED OASAS and OPWDD OMH and SED OASAS and OPWDD

Full, Abbreviated, Article 28 Abbreviated or Mini-Abbreviated CFR

May 1st June 1st November 1st December 1st

30-Day Extension Request Due on or Before

May 1st N/A November 1st N/A

A 30-day extension beyond the initial due date will be granted to OMH and SED service providers who submit the Consolidated Fiscal Report (CFR) Pre-Approved 30-Day Extension Request via Survey Monkey. This extension request must be electronically completed, indicating each of the NY State Agencies certifying or funding any of the programs that the service provider operates. Additionally, the county may require a submission date earlier than the extended date.

The link to the CFR Pre-Approved 30-Day Extension Request is available from the NYS Education Department Rate Setting Unit at: http://www.oms.nysed.gov/rsu/Manuals_Forms/Manuals/CFRManual/home.html.

Note: No response to this extension request will be sent by any of the State Agencies. Therefore, service providers should print a copy of the extension request for their files.

LATE SUBMISSION OF A CFR MAY RESULT IN A SANCTION OR PENALTY BEING IMPOSED AGAINST THE SERVICE PROVIDER.

For Providers Operating OASAS Certified and/or Funded Programs

Sanctions: Sanctions for non-compliance with OASAS consolidated fiscal reporting requirements will be imposed in accordance with the policies and procedures described in OASAS Local Services Bulletin 2007-05: Sanction Policy for Non-Compliance with OASAS Consolidated Fiscal Reporting Requirements.

http://www.oms.nysed.gov/rsu/Manuals_Forms/Manuals/CFRManual/home.html

New York State Subject: Due Dates Section: 4.0 Page: 4.2 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

For Providers Operating OMH Certified and/or Funded Programs

Providers who fail to file a satisfactory CFR on time, including all certifications and attachments, are subject to specific penalties.

Providers who receive payments from Medicaid for OMH certified program services can have their payments temporarily withheld. Pursuant to Part 552.5(e) of Title 14 NYCRR, their Medicaid payments will be reduced by twenty percent (20%) for the first month under sanction. Such reduction will be increased in each subsequent month by ten percent (10%) until we have received a satisfactory CFR from your agency.

Providers who receive payments under contract with either the Office of Mental Health or an LGU can have their entire quarterly payments withheld until a satisfactory submission has been received. All funds are returned once the provider is in compliance.

For Providers Operating OPWDD Funded Programs

Providers who fail to file a satisfactory CFR on time, including all certifications, financial statements and attachments, are subject to penalties. Providers who receive Medicaid payments for OPWDD program services can have their payments reduced pursuant to Subpart 635-4 “Financial Reporting and Audit Requirements” of Title 14 NYCRR.

STATE AGENCIES WILL NOT BE RESPONSIBLE FOR ANY LOSS OF STATE AID WHICH RESULTS FROM NON-COMPLIANCE WITH THE REQUIRED DEADLINES OR LATE AMENDMENTS.

OASAS and OPWDD no longer require or accept preliminary (estimated) claims as of the July 2015-June 2016 reporting period.

New York State Subject: Software Section: 5.0 Page: 5.1 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

All of the CFR state agencies require that all CBRs, CQRs and CFRs will be completed using approved NYS CFRS software. CFR Interagency Committee approved software is available only from the New York State Office of Mental Health. CFRs generated by software not approved by the CFR Interagency Committee will not be accepted.

The approved NYS CFRS software application has been reviewed by the CFR Interagency Committee and contains the functionality to:

1. Calculate and allocate agency administration expenses using the prescribed ratio value methodology,

2. Calculate FTEs to three (3)decimal places,

3. Calculate sub-totals and page totals,

4. Carry forward totals from certain schedules to specific lines on other schedules

5. Create an upload file for electronic submission of CFR documents via the Internet and,

6. Create and print in the specified formats.

Approved NYS CFRS software will also:

• Perform the edits required by the CFR Interagency Committee.

• Assign a unique Document Control Number (DCN) to the CFR submission each time the final validations are run successfully.

• A DCN indicates that final calculations and carry forwards have been completed.

• A CFR must have a DCN before it can be uploaded.

• The assigned DCN will appear on each page of a printed CFR and will become part of the upload file for that submission.

NYS CFRS software is updated, approved and released for each calendar and July/June reporting period. Each version of NYS CFRS software can be used for the current reporting period and for all reporting periods, both calendar and July/June, going back to 2002/2003. If an agency needs to revise any prior period CFR dating back to 2002/2003, they should download the most recently released version of the NYS CFRS software from the OMH CFRS website and then import and revise the prior period CFR accordingly.

To obtain information concerning approved NYS CFRS software, contact the appropriate New York State Agency(ies) listed in Section 8.0.

New York State Subject: Software Section: 5.0 Page: 5.2 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

The Office of Mental Health maintains a webpage related to the NYS CFRS software. This can be accessed at:

http://www.omh.ny.gov/omhweb/cfrsweb/default.asp

The CFRS homepage includes links to pages for:

• Downloading the software

• Instructions for installing the software

• Instructions for importing your previous submissions

• Uploading the submissions

• Obtaining manual and forms

• Various resources to help the users find answers to their questions

The software also has help available on many topics from the menu. You should be able to complete most tasks using the information found in HELP.

If you have questions regarding the operation of the CFRS software, and are unable to find the answers in the software’s HELP or at the above referenced web site, please phone 1-800-HELP-NYS (1-800-435-7697) for assistance (if you are located outside of New York State, please call 1-518-474-5554) or e-mail at [email protected].

mailto:[email protected]://www.omh.ny.gov/omhweb/cfrsweb/default.asp

New York State Subject: Financial Statements Section: 6.0 Page: 6.1 Consolidated Fiscal and Federal Audit Requirements Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16


CFR submissions must be accompanied by the service provider's annual audited and certified financial statements. The financial statements shall be audited and certified by a certified public accountant independent of the organization. The financial statements must be prepared in accordance with U.S. generally accepted accounting principles (U.S. GAAP). Providers subject to consolidated financial statement reporting in accordance with U.S. GAAP should submit their audited and certified consolidated financial statements and, if available, they should also submit financial statements reflecting information relating to the provider as a stand-alone entity.

These financial statements should correspond to the CFR reporting period if the service provider's fiscal or calendar year is the same as the CFR reporting period. If the service provider’s accounting period differs from the required CFR reporting period, the service provider’s most recent financial statements will be accepted providing that the year-end date of the financial statements falls within the CFR reporting period. It is recommended that the audited and certified financial statements include the prior year’s data in the presentations of the balance sheet and income statement or comparably labeled schedule.

Providers operating only SED programs will be required to submit audited and certified financial statements that correspond to the CFR year end of June 30th unless granted permission by the designated representative of the Commissioner of the NYS Education Department to submit the audited and certified financial statements on a different year end than the CFR.

The required financial statements for not-for-profit service providers shall include a statement of financial position, a statement of activities and a statement of cash flows. The required financial statements for for-profit service providers shall include a balance sheet, an income statement and a statement of cash flows. For not-for-profit and for-profit service providers, notes to the financial statements, a management letter if available, and a report on the reliability of the systems of internal control, if available, shall also be included.

CFR submissions that do not include the most current set of audited and certified financial statements will be considered incomplete and, as such, may result in imposition of sanctions or penalties against the service provider. Please refer to the applicable submission matrix in Section 2.0.

Note: Financial statements are not required for the following OASAS, OMH, and OPWDD CFR submissions:

• County Local Governmental Units (LGUs) or for municipalities; • Article 28 hospitals; and • Mini-Abbreviated CFRs.

OASAS Note: OASAS will accept financial statements reviewed by an independent CPA from providers receiving less than $500,000 in total revenue from all sources in all lines of business.

Federal Audit Requirements

States, Local Governments, and Non-Profit Organizations expending $750,000 or more a year in federal awards may be required to have a single or program-specific audit conducted in accordance with 2 CFR §200 – Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Providers that are required to have a Federal audit (based on OMB A-133 guidance) must upload a copy of the audit report to the funding NYS agency, via the CFRS software.

More information on the Federal audit requirements can be found at:

http://www.ecfr.gov/cgibin/retrieveECFR?gp=&SID=71ad861e0603cf07a990c10b6b89919f&mc=true&n=pt2.1.200&r=PART&ty+HTML#se2.1.200_1501

http://www.ecfr.gov/cgi�bin/retrieveECFR?gp=&SID=71ad861e0603cf07a990c10b6b89919f&mc=true&n=pt2.1.200&r=PART&ty+HTML#se2.1.200_1501

New York State Subject: Methods of Accounting Section: 7.0 Page: 7.1 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

Method of Accounting – CFR Core Cost Report Schedules

The core cost reporting schedules CFR-1 through DMH-1 of Full, Abbreviated and Article 28 Abbreviated Consolidated Fiscal Reports (CFRs) must be completed using accrual accounting in accordance with U.S. generally accepted accounting principles (U.S. GAAP).

Note: For purposes of the forms and corresponding instructions, the term “generally accepted accounting principles” should be interpreted as being synonymous with “U.S. generally accepted accounting principles” and, similarly, the acronym “GAAP” should be interpreted as being synonymous with “U.S. GAAP.”

Method of Accounting – State Aid Claiming Schedules

OASAS, OMH and OPWDD state aid claiming schedules DMH-2 and DMH-3 may be completed on any method of accounting but MUST be consistent with the service provider’s approved budget and MUST be consistent from year to year.

Service providers must get prior approval from each applicable DMH funding agency in order to change their method of accounting from the prior year's method. Additionally, service providers funded through a contract with a Local Governmental Unit (LGU) must also get prior approval from the contracting LGU.

The three (3) methods of accounting are described as follows:

• Accrual Accounting – The goal of accrual accounting is to account in the periods in which they occur, the effects of transactions and other events and circumstances on an entity, to the extent that those financial effects are recognizable and measurable. Revenue is recognized and recorded when earned, regardless of when payment is received and expenses are recognized and recorded as they are incurred, instead of when they are paid.

• Cash Basis Accounting - Cash basis accounting records revenues when received and records expenditures when paid. Although this method of accounting is recognized for use by DMH service providers receiving Aid to Localities funding, caution is advised in its use because it may cause a distorted view of the fiscal activity of an agency and does not provide comparable fiscal reports from period to period.

• Modified Accrual Accounting - Modified accrual accounting treats revenues and expenditures as follows:

Revenues are recorded when received except for the following:

1. Those revenues which are susceptible to accrual. Revenues are susceptible to accrual if they are measurable and "available" to finance the operations of the current year. "Available" means collectible within the current accounting period or soon enough "thereafter" to be used to pay liabilities of the current period. Generally, "thereafter" should not exceed 60 days.

2. Those revenues of a material amount that have not been received at the normal time of receipt. Revenues of a material amount ordinarily recorded on a cash method will be accrued if receipt is delayed beyond the normal time of receipt.

Expenditures are recorded when incurred. Compensation due to employees and related fringe benefits at the end of the year will be accrued. Liabilities for retirement costs of public retirement systems will be recorded as expenditures when due to that retirement system.

New York State Subject: Methods of Accounting Section: 7.0 Page: 7.2 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

For Providers Operating OASAS Funded Programs

OASAS does not allow service providers to budget for or claim any type depreciation expense for Aid to Localities (State Aid) reimbursement. Any items of expenses that were depreciated in the core schedules of the CFR must be converted to the actual hard dollar amount paid during the fiscal reporting period. Expenses that may require this conversion include but are not limited to vacation leave accruals and equipment or property assets.

Method of Accounting – By Schedule and CFR Submission Type

Each CFR submission type (Full, Article 28 Abbreviated, Abbreviated and Mini-Abbreviated) contains different combinations of schedules and has slightly different rules governing the methods of accounting used on those schedules. The requirements for each of the four (4) different CFR submission types are as follows:

Full CFRs

Schedules CFR-1 through CFR-6 and DMH-1 must be completed using accrual accounting according to U.S. generally accepted accounting principles. Claiming schedules DMH-2 and DMH-3 may be completed using a method of accounting other than accrual.

Abbreviated CFRs

Schedules CFR-2, CFR-2A, CFR-4, CFR-5, CFR-6 and DMH-1 must be completed using accrual accounting according to U.S. generally accepted accounting principles. Claiming schedules DMH-2 and DMH-3 may be completed using a method of accounting other than accrual.

Article 28 Abbreviated CFRs

Schedules CFR-4, and DMH-1 must be completed using accrual accounting according to U.S. generally accepted accounting principles. Claiming schedules DMH-2 and DMH-3 may be completed using a method of accounting other than accrual.

Mini-Abbreviated CFRs

Schedules CFR-4, CFR-5 and claiming schedules DMH-2 and DMH-3 may be completed using accrual, cash basis or modified accrual accounting.

New York State Subject: General Instructions Section: 8.0 Page: 8.1 Consolidated Fiscal Reporting and Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 Issued: 05/16

CFRS Program Type vs. Program/Site Information

Fiscal information in the CFR is reported on a program type or program/site specific basis. This means that the columns shown on the CFR schedules are related to program level or program/site level segregation of data.

Below is a listing of which schedules are completed on a program/site basis and which schedules are reported on a program type basis.

Reported By Reported By Program/Site Program Type

CFR-1 DMH-1

CFR-4 DMH-2

CFR-4A DMH-3

OPWDD-1 SED-1

OPWDD-2 SED-4 OPWDD-5

OMH-1 OMH-2 OMH-3 OMH-4

Schedules CFR-2, CFR-2A, CFR-3, CFR-5 and CFR-6 are completed using fiscal information for the entire provider agency and are not completed on a program/site or program type basis.

OASAS Note: All OASAS treatment programs and most OASAS-non-treatment programs are reported at the program site level on CFR core schedules and CFR claim schedules. Generally speaking, each program site with a unique Program Site Identification Number will be reported in its own column throughout the CFR. The Program Site Identification Number for OASAS programs is the Program Reporting Unit Number (PRU Number). More information regarding the OASAS Program Site Identification Number can be found on the following page. Please contact your OASAS Field Office Program Specialist if you have any questions regarding program site budgeting and/or claiming.

SED Note: All SED programs are reported on a program type basis.

Program Type (Program)

Program types are specified by law, regulation, policy or programmatic approval. Some of the factors used to define program types are:

• The type of service provided.

• The population served.

• The setting where the service is provided.

• The method of service delivery.

• The function performed.


Program types are identified by a four (4) digit program code. Program types may be specific to one or more State Agencies. Valid State Agency program types are defined in Appendices E through H of this manual.

OPWDD Note: OPWDD program code descriptions in Appendix G of this manual specify if the program is reported on a program/site basis or a program type basis.

SED Note: All SED programs are reported by program type in the CFR.

Program/Site (Site)

A program/site is generally the location where a specific type of program service is provided. Program/sites are reported discretely on Core schedules CFR-1, CFR-4 and CFR-4A. The determining factors are listed in the program definition appendices of this manual.

Generally, each program/site must be defined in approved CFR software before expenses, revenues or statistics can be entered. Service providers should refer to the instructions in Section 13 (CFR-1) for assistance in determining the appropriate program/site identification number for each program/site.

Program/Site Identification Numbers

Program/site Identification Numbers are used to identify the information reported on Consolidated Fiscal Reports (CFRs) at the program/site level. Each of the State Agencies uses different information to create Program/Site Identification Numbers. The Program/Site Identification Numbers to use for each State Agency’s program/sites are as follows:

OASAS: Use the five-digit Program Reporting Unit (PRU) number. Exception: use 99999 if no PRU has been assigned to a program (for example, Special Legislative Grant (MIs).

OMH: Use the Operating Certificate number for certified programs and the Facility-Unit code for non-certified programs. The program/site identification number for OMH must be unique within the CFR submission. A listing of valid Program/Site codes for your agency is available in the MHPD system.

OPWDD: For programs required to be reported at the site level, use the Operating Certificate number.

For programs required to be reported at the program level (aggregated), use the first four digits of the agency code and the last three digits of the program code. When more than one column will be created for this program code, increase number of the last digit by one.

For NYS OPTS (Program Code 0234) use the contract number, replacing the starting letter of the contract number with “0”, in order to create a seven digit number.

Refer to Appendix G for Program Code specific information.

SED: This field should be the first 4 digits of your agency code and the first 3 digits of your program code.


CFRS Shared Program Reporting

Shared programs are specific individual program/sites funded by more than one New York State Agency, or when more than one program shares the same item of expense.

• When reporting a shared program/site, the two (2) or more New York State Agencies funding that program/site must be designated.

• Shared program/sites are reported on a separate set of shared program/site schedules in the core of the CFR. Shared program/sites are not reported on the same set of core schedules with program/sites that are funded solely by one State Agency.

• Expenses and revenues for each shared program/site are reported in a single column in the core schedules of the CFR.

• Shared program/sites with different combinations of funding State Agencies are reported on different sets of shared program/site schedules reflecting each unique combination of State Agencies.

For example, a Transportation program [Program Code 0670] funded by both OMH and OPWDD is reported on a separate set of schedules from a Local Governmental Unit Administration program [Program Code 0890] funded by OASAS, OMH and OPWDD.

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Documents

Consolidated Fiscal Reporting and Claiming Manual · Claiming Manual Reporting Period: July 1, 2015 to June 30, 2016 . Issued: 05/16 : The Consolidated Fiscal Report (CFR) is required